# SAINT LUKES PHYSICIAN GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT LUKES PHYSICIAN GROUP INC
- **Other names:** Saint Lukes Convenient Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043826563
- **Legal business name:** SAINT LUKES PHYSICIAN GROUP INC
- **Authorized official:** JULIE MURPHY (CFO)
- **Authorized official phone:** (816) 599-9563

## Contact information

- **Practice address:** 8501 W 95TH ST, OVERLAND PARK, KS 66212-3220
- **Practice address phone:** (913) 323-8880
- **Mailing address:** 901 E 104TH ST, KANSAS CITY, MO 64131-4517
- **Mailing address phone:** (816) 502-8782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 09/21/2020
- **Last updated:** 09/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110403 | MEDICARE PIN | KS |
| 01 | — | B940000 | MEDICARE PIN | MO |
| 01 | — | G930000 | MEDICARE PIN | KS |
| 01 | — | H720000 | PIN | MO |